Adapter with Moisture Trap Assembly for Respiratory Circuit
20210299387 · 2021-09-30
Assignee
Inventors
- Brooke Higginbotham (Las Cruces, NM, US)
- Anna Victoria Aguilar (El Paso, TX, US)
- Alejandro Gonzalez (El Paso, TX, US)
- Jason Tso (Issaquah, WA, US)
Cpc classification
G16H50/20
PHYSICS
A61M2205/3592
HUMAN NECESSITIES
A61M16/1085
HUMAN NECESSITIES
G16H50/30
PHYSICS
G06N10/00
PHYSICS
A61M2205/3569
HUMAN NECESSITIES
A61M16/024
HUMAN NECESSITIES
G06N10/60
PHYSICS
F16L55/24
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
A61M11/00
HUMAN NECESSITIES
A61M11/003
HUMAN NECESSITIES
International classification
A61M16/08
HUMAN NECESSITIES
F16L55/24
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
G06N10/00
PHYSICS
Abstract
Nebulizer systems, adapters, methods, and apparatuses are described for a nebulizer adapter that includes a body, an inlet for aerosolized respiratory medications and/or medical marijuana and/or other pharmaceuticals, a breathing gas inlet tube and outlet tube, a barrier or body, and a drain lumen port that passes from the bottom of the barrier or body of the apparatus to the exterior into a port drain. The port drain would be in fluid communication with a receptacle removably attached to the annular lid that is attached to the bottom of the adapter body for collecting condensed moisture, wherein the receptacle comprise an actuator member configured to actuate the airtight seal of the annular lid upon attachment. The adapter includes a sensory system and temperature regulating system that continuously detects and regulates the temperature within an adapter to minimize condensates from forming and interfering with patient care. A computation device also stores individual patient outcomes and corresponding sensory information and accesses stored aggregate individual patient outcomes and corresponding sensory information from other sensory systems, wherein a machine learning algorithm utilizing quantum computing compares current individual patient sensory information, stored aggregate patient outcomes, and corresponding sensory information from other sensory systems to automatically predict statistical likelihoods of patient outcomes and automatically generate possible treatments and suggested diagnosis, wherein said display screen can access and display said statistical likelihoods of similar patient outcomes and automatically generated possible treatments and suggested diagnosis. An optional drainage system suctions condensate into a drainage port using mechanical energy produced by the internal force of a spring. There is a display screen where hospital workers and telemetry units can access the sensory information, alert notifications to hospital personnel, and manually override if necessary.
Claims
1. An apparatus comprising: an adapter, a sensory system, a temperature regulating system, and a computational device, wherein said sensory system sends a signal or plurality of signals to said computational device, wherein said computational device processes said signal or plurality of signals with a machine learning algorithm using quantum computing to calculate an optimal temperature, and automatically sends a secondary signal to said temperature regulating system, wherein said temperature regulating system regulates the temperature within said adapter to achieve said optimal temperature that may or may not be within the temperature range prior to reaching the dew point.
2. The adapter of claim 1, further comprising: an insulating material located between an exterior surface and an interior surface, wherein said adapter is able to continue to maintain temperature in the event of a blackout or system failure.
3. The apparatus of claim 1, wherein said temperature regulating system employs electrical heating or cooling or a heat generating film and can be manually or automatically turned on or off.
4. The sensory system of claim 1, wherein a combination of one or more sensors located inside the adapter, outside the adapter, or both, sense a combination of one or more conditions including temperature, humidity, patient breathing rate, patient saturation, CO2 trends, oxygen levels, and pressure inside the adapter, outside the adapter, or both, and can use frequencies in the electromagnetic spectrum to allow for wireless communication with said computational device to store sensory information and access collected sensory information from other sensory systems communicating with said computation device. This may include a sensor distal or proximal to the patient's face that communicates HFT pressure and/or patients' PEEP and may measure amount of medication being delivered to the patient.
5. The adapter of claim 1, further comprising a device to collect patient input scores and which can wirelessly communicate information including patient input scores to said computational device, wherein said computational device stores said information.
6. The computational device of claim 1, further comprising: a machine learning algorithm that receives said signals generated by said sensory system, patient input scores, and aggregate data from other sensory systems communicating with said computational device to calculate using quantum computing a temperature that may maintain the temperature range prior to the dew point wherein condensation will not form while maximizing patient comfort, wherein said computational device subsequently communicates wirelessly with said temperature regulating system to regulate the temperature within the adapter to achieve said temperature.
7. The computational device of claim 1, further comprising: a display screen, wherein said computational device is able to send and receive signals to and from said sensory system, temperature regulating system, and adapter through a wired or wireless connection, and wherein said display screen can access and display the information stored in the computational device.
8. The computational device of claim 1, wherein said computational device can use frequencies in the electromagnetic spectrum to allow for wireless communication with a plurality of other devices.
9. The computational device of claim 1, wherein users can manually adjust the target temperature, wherein said computational device communicates said target temperature to said temperature regulating system, wherein said temperature regulating system regulates the temperature within the adapter to achieve said target temperature.
10. The computational device of claim 1, wherein said computational device stores individual patient outcomes and corresponding sensory information and accesses stored aggregate individual patient outcomes and corresponding sensory information from other sensory systems, wherein a machine learning algorithm utilizing quantum computing compares current individual patient sensory information, stored aggregate patient outcomes, and corresponding sensory information from other sensory systems to automatically predict statistical likelihoods of patient outcomes and automatically generate possible treatments, wherein said display screen can access and display said statistical likelihoods of similar patient outcomes and automatically generated possible treatments and suggested diagnosis.
11. The computational device of claim 1, wherein said display screen has the ability to communicate a warning when said statistical likelihoods of similar patient outcomes reach a certain threshold.
12. The computational device of claim 1, wherein users can communicate wirelessly with said computational device with tissue sensors, wireless brain implants, or both to send information, receive information, and manually adjust settings in the event users cannot physically send information, receive information, and manually adjust settings with said computational device.
13. A method for automatically minimizing condensation within an adapter, anticipating patient outcomes, and generating possible treatments and suggested diagnosis comprising: collecting patient data through sensory systems and informational databases; using a machine learning system with quantum computing to calculate an optimal temperature that minimizes condensate while maximizing patient comfort; communicating with a temperature regulating system to adjust the temperature within said adapters to achieve said optimal temperature; utilizing a computational device that stores individual patient outcomes and corresponding sensory information and accesses stored aggregate individual patient outcomes and corresponding sensory information from other sensory systems, wherein a machine learning algorithm utilizing quantum computing compares current individual patient sensory information, stored aggregate patient outcomes, and corresponding sensory information from other sensory systems to automatically predict statistical likelihoods of patient outcomes and automatically generate possible treatments and suggested diagnosis, wherein said display screen can access and display said statistical likelihoods of similar patient outcomes and automatically generated possible treatments and suggested diagnosis.
14. The adapter of claim 1, further comprising: an attachable drainage system coupled to the insulated mixing chamber.
15. The attachable drainage system of claim 14, comprising: an inside, middle, and outer layer, the inside and outer layers further comprising cupped open systems and concentric holes, whereby said cupped open systems create a closed, airtight environment, whereby said concentric holes allow airflow out of the system; and a spring system, whereby said spring system connects the inside, middle, and outer layers together.
16. The attachable drainage system of claim 14, wherein air is released through compression or extension and force from said spring system to create a vacuum chamber and is paired in conjunction to the rhythm of the perspiration of a lumen.
17. The attachable drainage system of claim 14, wherein an array of hygroscopic materials absorb moisture.
18. The attachable drainage system of claim 14, wherein a movable or stationary seal is able to be activated to prevent the flow of air into said attachable drainage system.
19. The attachable drainage system of claim 14, further comprising a computational device, wherein signals generated from said sensory system are sent and received from said sensory system to and from said computational device.
20. The computational device of claim 19, further comprising a machine learning algorithm generated from real-time data received from said sensory system that immediately predicts the most efficient electrical signal to adjust the mechanical energy depending on a combination of one or more conditions inside said adapter, outside said adapter, or both including temperature, humidity, patient breathing rate, patient saturation, CO2 trends, oxygen levels, hydrostatic pressure, and light refraction. This may include a sensor distal or proximal to the patient's face that communicates HFT pressure and/or patients' PEEP and may measure amount of medication being delivered to the patient.
Description
BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF THE DRAWINGS
[0019] A sample embodiment of the disclosure is set forth in the following description, is shown in the drawings and is particularly and distinctly pointed out and set forth in the appended claims. The accompanying drawings, which are fully incorporated herein and constitute a part of the specification, illustrate various examples, methods, and other example embodiments of various aspects of the disclosure. It will be appreciated that the illustrated element boundaries (e.g., boxes, groups of boxes, or other shapes) in the figures represent one example of the boundaries. One of ordinary skill in the art will appreciate that in some examples one element may be designed as multiple elements or that multiple elements may be designed as one element. In some examples, an element shown as an internal component of another element may be implemented as an external component and vice versa. Furthermore, elements may not be drawn to scale.
[0020]
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[0030]
[0031] Similar numbers refer to similar parts throughout the drawings.
DETAILED DESCRIPTION
[0032] Initially, the Inventors/Applicant note that the present disclosure is a continuation-in-part of U.S. patent application Ser. No. 15/918,729 (the '729 Application) filed on Mar. 12, 2018, and continuation-in-part of U.S. patent application Ser. No. 15/243,575 (the '575 Application) filed on Aug. 22, 2016, which claims the benefit of U.S. Provisional Patent Application Ser. No. 62/208,718 (the '718 Application) filed on July Aug. 23, 2015, and the present disclosure claims the benefit of U.S. Provisional Patent Application Ser. No. 62/471,360 (the '360 Application) filed on Mar. 13, 2017, the entirety of each is fully incorporated herein as if fully re-written. The present disclosure touches upon additional subject matter to the aforementioned '729 Application, '575 Application, '718 Application, and '360 Application, namely, adapters for airline circuitry that connect with a nebulizer and have a drainage port to allow fluids to drain from the mixing chamber. Since this is a continuation-in-part application of the '729 Application, and continuation-in-part application of the '575 Application, and some similar structural nomenclature is used herein when referencing some portions of the adapter. However, there may be some instances where structural nomenclature differs between similar elements and there may be other instances where nomenclature is similar between distinct elements relative to this application and the '729 Application, the '575 Application, '718 Application, and the '360 Application. The terms used in this disclosure apply to this disclosure and may not necessarily apply to other applications or issued patents in this family. Further in this regard, terms used in the specification(s) of the '729 Application, the '575 Application, '718 Application, and the '360 Application may or may not necessarily apply to this disclosure.
[0033] An adapter, which may also be referred to herein or in other related applications as a flow connecter unit, is shown generally throughout the figures at 10. The adapter 10 is configured to define a moisture trap assembly 12 (
[0034] Adapter 10 includes a body 28 that may be formed from a plurality of components connected together or may be integrally formed as one molded piece of material. In one particular embodiment, body 28 is fabricated from polymers that are sufficiently strong yet also light-weight and may include antimicrobial properties. For example, the adapter may be molded in as a single piece mold such that the body is substantially a unibody, monolithic member formed from a uniform material, and/or the adapter may be molded into multiple pieces such that the body connects together to function as a whole unit.
[0035] The body 28 of adapter 10 defines a first inlet 30, a second inlet 32, an outlet 34, and a drainage port 36 (
[0036] The body 28 has substantially uniform in thickness between the outer surface 42 and the inner surface 44. In one particular embodiment, the body 28 is solid and not hollow between the outer surface 42 and the inner surface 44. Stated otherwise, the body 28 does not form a lumen or other vacuum or space in which fluids or gases may flow between the inner surface 44 and the outer surface 42 in a circumferential manner around either the longitudinal axis 38 or the central vertical axis 68 (
[0037] The body 28 further includes a first tapered collar 46 connected with the cylindrical sidewall 40. The tapered collar 46 tapers radially inward towards the longitudinal axis 38 and is connected with a cylindrical extension 48 associated with the first end 16 of the adapter 10 and defines the first inlet 30. The cylindrical extension 8 includes an inner surface 50 that defines a lumen or passageway 52 in open communication with an opening 54 for the first inlet 30. The dimensions of the first inlet 30 and outlet 34 are sized to snugly fit with tubing of a respiratory circuit from a HFO apparatus or other breathing apparatus and output of a cannula and/or mask or other gas delivery system, respectively. The cylindrical extension has an outer diameter that is smaller than the outer diameter of the cylindrical sidewall 40. The cylindrical extension has an inner diameter that is smaller than an inner diameter of the cylindrical sidewall 40.
[0038] Adjacent the second end 18, the body 28 further includes a second tapered collar 56 that tapers downwardly towards the longitudinal axis 38 to a second cylindrical extension 58 associated with the second end 18 and defining the outlet 34. Second tapered collar 56 tapers at an angle steeper than tapered collar 46 relative to the longitudinal axis 38. In one particular embodiment, the angle in which the tapered collar 56 tapers or is angled or intersects the longitudinal axis 38 is in a range between 90° and 45°. The second cylindrical extension 58 includes an inner surface 60 defining an outlet passageway 62 in fluid communication with an outlet opening 64 for the outlet 34. The passageway 62 is centered about the longitudinal axis 38. The outer diameter of the second cylindrical extension 58 is less than that of the first cylindrical extension 48. The inner diameter of the second cylindrical extension 58 is less than that of the first cylindrical extension 48. In one particular embodiment the diameters of the second cylindrical extension 58 are no more than half those of the first cylindrical extension 48. Stated otherwise, the ratio of the outer diameter of the second cylindrical extension relative to the outer diameter of the first cylindrical extension is at most about 0.5:1. However, clearly other dimensional and ratios are entirely possible.
[0039] The body 28 that defines the second inlet 32 further includes a cylindrical wall 66 that extends and is angled upwardly and towards the first side relative to a vertical axis 68. The cylindrical wall 66 includes a convex outer surface 70 opposite a concave inner surface 72 defining a passageway 74 in open communication with an opening 76 of the second inlet 32. The cylindrical wall 66 associated with the second inlet 32 is centered about an axis 78 that is non-orthogonally angled relative to the longitudinal axis 38 and the vertical axis 68. More particularly, the axis 78 associated with the second inlet 32 is non-orthogonal to the longitudinal axis 38 and is non-orthogonal to the vertical axis 68. In one particular embodiment, the angle defined between the longitudinal axis 38 and the axis 78 of the second inlet 32 is in the range from about 20° to about 80°. In one particular embodiment, the angle may be in a range from about 45° to about 70°. In one specific example, the angle defined between the axis 78 of the second inlet 32 is about 60°. An angle is formed between the axis 78 of the second inlet 32 and the central vertical axis 68 associated with the adapter 10. The angle in one particular embodiment between axis 78 and axis 68 is about 30°. However, it may be in a range from about 15° to about 75° depending on the orientation and desired size of a device, such as a nebulizer configured to be connected with the second inlet 32. As will be described below, the orientation of the second inlet 32 causes and external device, such as a nebulizer 108, that is connected with the second inlet to be canted or angled in a similar manner. Thus, a central axis associated with a portion of the nebulizer 108 would be oriented at an angle in a range from about 45° to about 70° relative to the longitudinal axis 38 and oriented at an angle in a range from about 15° to about 75° relative to the central vertical axis 68.
[0040] As depicted in
[0041] As depicted in
[0042] The diameter of the circular wall 84 is greater than the transverse width of the cylindrical wall 40. Stated otherwise, the diameter 92 of the lid 82 is greater than the diameter 94 measured across the longitudinal axis of the cylindrical wall 40 of the body 28. In one particular embodiment, the diameter of the lid 82 is at least two times greater than the diameter 94 of the cylindrical sidewall 40 on the body 28. In another particular embodiment, the diameter 92 of the lid 82 is at least three times greater than the diameter 94. The diameter 92 of the lid 82 is smaller than the length associated with the cylindrical sidewall 40. Stated otherwise, the lid 82 is positioned below the cylindrical sidewall 40 but terminates short of the tapered collar 46 and the tapered collar 56. Stated otherwise, the lid 82 is disposed between the tapered collar 46 and the tapered collar 56. Additionally, the lid 82 is positioned below the cylindrical wall 48 associated with the first inlet 30 and is positioned below the cylindrical extension 58 associated with the outlet 34. In one particular embodiment, the thickness of the annular sidewall 86 measured between the outer surface 96 and the inner surface 98 may be similar to or thinner than the thickness of the body 28 measured between the cylindrical wall 40, outer surface 42, and inner surface 44.
[0043] The annular sidewall 86 may include a convex vertically extending outer surface 96 and an opposing concave vertically extending inner surface 98 having threads 100 extending radially inward towards the vertical axis 68. The threads 100, as will be described in greater detail below are configured to threadably connect with the receptacle 14 to effectuate an air-tight seal between the receptacle and the body 28 to assemble the moisture trap assembly thereby fully 12. Threads 100 or other airtight connection are positioned on the inner circumference of annular sidewall 86 for engaging with the threads or other connection of the receptacle 14, which can be unscrewed and/or separated during draining and cleaning. A vertically aligned length of the annular sidewall 86 that is less than the diameter 92 of the annular sidewall. Further the vertically aligned length of the annular sidewall 86 is typically less than one inch in length.
[0044] As depicted in
[0045] With continued reference to
[0046] In some instances, an additional seal, such as a gasket, can be included to cover a portion of the drainage port 36 when the receptacle is detached from the lid 82. By doing so, this enables the adapter 10 to operate in a conventional fashion similar to a traditional nebulizer adapter when the receptacle 14 is detached from its connection with the lid 82. In this regard, there may be an actuation member, such as a plunger, provided on the receptacle 14 to move the seal or gasket away from and open the drainage port 36 when the receptacle 14 is threadably attached to the lid 82 via threads 100.
[0047]
[0048] In accordance with one aspect of the present disclosure, the adapter 10 enables fluids to be drained therefrom when the nebulized medicine is mixed with the breathing gas entering the mixing chamber through the lumen defined by the first inlet 30. Thus, the first inlet 30 is associated with only a single lumen (i.e., lumen or passageway 52) that fluidly receives breathing gas therethrough. The adapter of the present disclosure operates with and as a single lumen nebulizer system (i.e., not double lumen systems, such as the first inlet port having double lumens as taught by U.S. PG Pub. 2015/0352299, which may also be referred to as a first inlet double lumen adapter, the entirety of which is hereby incorporated by reference).
[0049] In one particular operation of an embodiment, the nebulized medication produced in nebulizer 108 mixes the breathing gas flowing along tube 106, which may be heated and humidified, that is passed into the mixing chamber 102 through the first inlet 30. The mixed breathing gas and nebulized medication from the second inlet 32 is then flowed out of outlet 34. When the heated and humidified gas is introduced into mixing chamber 102 through the first inlet 30, condensation may occur due to cooling. The condensation is undesirable because condensate could limit the gas flow through the system, present a biologic hazard to the patient, or could potentially flow into a nasal cannula and enter a patient's nasal passage. Condensation is a particular concern for HFT because HFT devices supply breathing gas at a high flow rate. When the breathing gas is pre-heated and humidified for patient comfort, HFT provides a high flow of gas with a high relative humidity and a high temperature. The heating and humidifying of the breathing gas used in HFT is beneficial because high flow rates of dry breathing gas leads to patient discomfort (e.g., due to drying of nasal passages). When heated and humidified gas cools, some of the moisture carried in the breathing gas cannot remain soluble and condenses. With the high flow rate of HFT, there is a substantial amount of moisture in the breathing circuit that could potentially become condensate if the gas cools. Cooling of the heated and humidified gas can occur due to expansion of the gas as it enters the gas mixing chamber. Cooling can also occur due to heat loss to the ambient environment (e.g., radiative cooling at the plastic walls of the adapter) and/or from the vibration of the nebulizer inserted in the second inlet 108.
[0050] In one exemplary embodiment, there may be inlet and outlet tubes 106, 110 respectively connected to the adapter 10 (which may sometimes also be referred to as a flow connector unit) and may be about equivalent in size to Vapotherm input and output tube dimensions, for example inlet tube diameter of 16.002 mm, congruent with the input tube of the respiratory circuit and outlet tube diameter equivalent of the outer diameter of the cannula and/or mask or other gas delivery system, allowing accurate fitment. The outlet tube comprises of the exact diameter in order to prevent disconnection from the HFT including but not limited to Vapotherm and AirVO2 products.
[0051] In addition, the inlet and outlet tubes 106, 110 may be slightly tapered along their respective lengths to ensure a snug fit with the adapter 10 and/or cannula. The inlet and outlet tubes may be linearly shaped with no slanting from the top outer ends toward the center of the lid location with the connecting mesh defined by the plurality of holes 80 at the top opening that fits a wide range of nebulizers 108 including but not limited to the Aeroneb nebulizer.
[0052] In another exemplary embodiment, the receptacle 14 comprises a containing volume with a capacity to contain equal to or greater than the condensate calculated by the FDS, hospitals, and collected data. The receptacle may be shaped similar to a cup or a jar having complementary threads formed near the top thereof for effectuating the threaded and hermetic connection with the lid. However, the receptacle may vary in volume and can be secured to the flow connected unit via annular lid. The receptacle is fully secured and does not allow the leakage of gas, water, or medication to leak from within. The collection receptacle may also comprise an actuation member configured to move a seal or gasket that covers a portion of the drainage port 36. The receptacle 14 may additionally define a secondary drainage port at the bottom of the receptacle allowing the release of accumulated water or fluid condensate from the adapter 10. When ample amount of water or fluid condensate has been accumulated in the collection receptacle, the receptacle can be unscrewed, emptied, dried, and fitted again to the adapter 10. During detachment of the receptacle, the airtight seal or gasket covering the drainage port 36 comes to a closed position to secure the air or gas flowing through the flow connector thus preventing loss of air of respiratory gas. Once the collection receptacle is to be securely attached again, the airtight seal will be moved by the actuation member carried by the receptacle, thus allowing flow of accumulated water into the collection receptacle during attachment and securing the nebulizer adapter to maintain flow of medication and gas while the receptacle device is disconnected.
[0053] An embodiment, the nebulizer adapter 10 with moisture trap assembly 12 used with respiratory apparatuses or other airline circuitry is specifically designed to connect to the input tube of the Vapotherm respiratory circuit and the output tube of the cannula by providing congruent dimensions of the body of the nebulizer adapter, while being versatile to fit other HFT and respiratory care devices such as but not limited to the AirVO2.
[0054] The moisture trap assembly 12 may comprise the exact diameter of the outer cannula dimensions, thus preventing disconnection and leakage of water into the patient respiratory line or other equipment. Moreover, the lid 82 that creates the air tight seal which engages an actuator member when the condensate collection receptacle is removed, thus preventing the loss of gas and medication that is being supplied to the patient. These as well as other advantages of the assembly and modifications within the purview of the present disclosure will be evident to those skilled in the art.
[0055] The nebulizer adapter 10 with moisture trap assembly 12 attaches accurately and easily to the Vapotherm respiratory circuit, and may be attached to other respiratory apparatuses also, in order to reduce the accumulation of water or other fluids in the respiratory apparatus systems, thereby improving patient comfort and safety. The nebulizer adapter 10 with moisture trap provides a less compromised flow of gases, including oxygen, heliox, and precision flow, or other gas(es) by providing an avenue for condensate accumulation while also allowing the uninterrupted passage of gas(es) and medication to the patient.
[0056]
[0057]
[0058] Although the present disclosure has been described in detail with particular reference to these preferred embodiments, other embodiments can achieve the same results. Variations and modifications of the present disclosure will be obvious to those skilled in the art and it is intended to cover all such modifications and equivalents. The entire disclosures of all references, applications, patents, and publications cited above and/or in the attachments, and of the corresponding application(s), are hereby incorporated by reference.
[0059] Also, various inventive concepts may be embodied as one or more methods, of which an example has been provided. The acts performed as part of the method may be ordered in any suitable way. Accordingly, embodiments may be constructed in which acts are performed in an order different than illustrated, which may include performing some acts simultaneously, even though shown as sequential acts in illustrative embodiments.
[0060] While various inventive embodiments have been described and illustrated herein, those of ordinary skill in the art will readily envision a variety of other means and/or structures for performing the function and/or obtaining the results and/or one or more of the advantages described herein, and each of such variations and/or modifications is deemed to be within the scope of the inventive embodiments described herein. More generally, those skilled in the art will readily appreciate that all parameters, dimensions, materials, and configurations described herein are meant to be exemplary and that the actual parameters, dimensions, materials, and/or configurations will depend upon the specific application or applications for which the inventive teachings is/are used. Those skilled in the art will recognize or be able to ascertain using no more than routine experimentation, many equivalents to the specific inventive embodiments described herein. It is, therefore, to be understood that the foregoing embodiments are presented by way of example only and that, within the scope of the appended claims and equivalents thereto, inventive embodiments may be practiced otherwise than as specifically described and claimed. Inventive embodiments of the present disclosure are directed to each individual feature, system, article, material, kit, and/or method described herein. In addition, any combination of two or more such features, systems, articles, materials, kits, and/or methods, if such features, systems, articles, materials, kits, and/or methods are not mutually inconsistent, is included within the inventive scope of the present disclosure.
[0061] All definitions, as defined and used herein, should be understood to control over dictionary definitions, definitions in documents incorporated by reference, and/or ordinary meanings of the defined terms.
[0062] The indefinite articles “a” and “an,” as used herein in the specification and in the claims, unless clearly indicated to the contrary, should be understood to mean “at least one.” The phrase “and/or,” as used herein in the specification and in the claims (if at all), should be understood to mean “either or both” of the elements so conjoined, i.e., elements that are conjunctively present in some cases and disjunctively present in other cases. Multiple elements listed with “and/or” should be construed in the same fashion, i.e., “one or more” of the elements so conjoined. Other elements may optionally be present other than the elements specifically identified by the “and/or” clause, whether related or unrelated to those elements specifically identified. Thus, as a non-limiting example, a reference to “A and/or B”, when used in conjunction with open-ended language such as “comprising” can refer, in one embodiment, to A only (optionally including elements other than B); in another embodiment, to B only (optionally including elements other than A); in yet another embodiment, to both A and B (optionally including other elements); etc. As used herein in the specification and in the claims, “or” should be understood to have the same meaning as “and/or” as defined above. For example, when separating items in a list, “or” or “and/or” shall be interpreted as being inclusive, i.e., the inclusion of at least one, but also including more than one of a number or lists of elements, and, optionally, additional unlisted items. Only terms clearly indicated to the contrary, such as “only one of” or “exactly one of,” or, when used in the claims, “consisting of,” will refer to the inclusion of exactly one element of a number or list of elements. In general, the term “or” as used herein shall only be interpreted as indicating exclusive alternatives (i.e., “one or the other but not both”) when preceded by terms of exclusivity, such as “either,” “one of,” “only one of,” or “exactly one of.” “Consisting essentially of,” when used in the claims, shall have its ordinary meaning as used in the field of patent law.
[0063] As used herein in the specification and in the claims, the phrase “at least one,” in reference to a list of one or more elements, should be understood to mean at least one element selected from any one or more of the elements in the list of elements, but not necessarily including at least one of each and every element specifically listed within the list of elements and not excluding any combinations of elements in the list of elements. This definition also allows that elements may optionally be present other than the elements specifically identified within the list of elements to which the phrase “at least one” refers, whether related or unrelated to those elements specifically identified. Thus, as a non-limiting example, “at least one of A and B” (or, equivalently, “at least one of A or B,” or, equivalently “at least one of A and/or B”) can refer, in one embodiment, to at least one, optionally including more than one, A, with no B present (and optionally including elements other than B); in another embodiment, to at least one, optionally including more than one, B, with no A present (and optionally including elements other than A); in yet another embodiment, to at least one, optionally including more than one, A, and at least one, optionally including more than one, B (and optionally including other elements); etc.
[0064] In the claims, as well as in the specification above, all transitional phrases such as “comprising,” “including,” “carrying,” “having,” “containing,” “involving,” “holding,” “composed of,” and the like are to be understood to be open-ended, i.e., to mean including but not limited to. Only the transitional phrases “consisting of” and “consisting essentially of” shall be closed or semi-closed transitional phrases, respectively, as set forth in the United States Patent Office Manual of Patent Examining Procedures.
[0065] An embodiment is an implementation or example of the present disclosure. Reference in the specification to “an embodiment,” “one embodiment,” “some embodiments,” “one particular embodiment,” or “other embodiments,” or the like, means that a particular feature, structure, or characteristic described in connection with the embodiments is included in at least some embodiments, but not necessarily all embodiments, of the present disclosure. The various appearances “an embodiment,” “one embodiment,” “some embodiments,” “one particular embodiment,” or “other embodiments,” or the like, are not necessarily all referring to the same embodiments.
[0066] If this specification states a component, feature, structure, or characteristic “may”, “might”, or “could” be included, that particular component, feature, structure, or characteristic is not required to be included. If the specification or claim refers to “a” or “an” element, that does not mean there is only one of the elements. If the specification or claims refer to “an additional” element, that does not preclude there being more than one of the additional elements.
[0067] Additionally, any method of performing the present disclosure may occur in a sequence different than those described herein. Accordingly, no sequence of the method should be read as a limitation unless explicitly stated. It is recognizable that performing some of the steps of the method in a different order could achieve a similar result.
[0068] In the foregoing description, certain terms have been used for brevity, clearness, and understanding. No unnecessary limitations are to be implied therefrom beyond the requirement of the prior art because such terms are used for descriptive purposes and are intended to be broadly construed.
[0069] Moreover, the description and illustration of various embodiments of the disclosure are examples and the disclosure is not limited to the exact details shown or described.